Muyenera kuti mwawona thumba la madzi la mayi woyembekezera likusweka mwadzidzidzi ndi phokoso lalikulu komanso madzi ambiri akutuluka. Koma m'moyo weniweni, izi sizomwe zimachitika nthawi zambiri. Anthu ambiri amaona kuti izi zimachitika pang'onopang'ono. Komabe, monga mayi woyembekezera, ndikofunikira kwambiri kuti mudziwe bwino izi. Chifukwa chake, tiyeni tikambirane za izi lero.
Kodi thumba la madzi likasweka limatanthauza chiyani?
Mwachidule, mwana wanu ali m'mimba mwanu, m'thumba lodzaza ndi madzi. Timatcha ichi kuti amniotic sac. Madzi a amniotic omwe ali m'thumba ili ndi omwe amateteza mwana wanu komanso omasuka m'mimba mwanu. Taganizirani izi, thumba ili la madzi limapatsa mwana wanu malo oti atembenuke, asunthe, komanso akule bwino. Zimathandizanso kuti kutentha kwa thupi la mwana wanu kukhale kofanana komanso kuti chingwe cha umbilical chisasokonekere.
Thupi lanu likakonzeka kubereka mwana wanu, thumba la madzi limeneli limaphulika. Kenako madzi omwe ali mkati mwake amayamba kutuluka kudzera mu nyini mwanu. Izi ndi zomwe timatcha "kuswa madzi anu" kapena "kuswa madzi anu." Izi zitha kuchitika kubereka kusanayambe, kapena kungachitike panthawi yobereka.
Kawirikawiri, pafupifupi 10% ya amayi omwe ali pafupi kubereka amakumana ndi kuphulika kwa nembanemba asanayambe kubereka . Matendawa amadziwika kuti Prelabor Rupture of Membrane (PROM).
Kodi zimamveka bwanji madzi akasweka?
Izi ndi zosiyana kwa aliyense. Mungamve motere:
- Kutuluka madzi ambiri mwadzidzidzi: Zingamveke ngati mwakodza m'zovala zanu.
- Kutuluka madzi nthawi zonse: Mungamve ngati mukutuluka madzi nthawi zonse.
- Kudontha: Mungamve ngati madzi akutuluka pang'onopang'ono.
- Kutuluka magazi nthawi ndi nthawi: Kutuluka magazi kungayambe, kutha kwa kanthawi, kenako n’kuyambiranso.
Nthawi zina mungamve phokoso la "click" kuchokera m'mimba, kapena mungamve ngati chinachake chikuphulika. Chofunika kwambiri kukumbukira ndichakuti madzi amniotic sanunkhiza ngati mkodzo . Nthawi zambiri sanunkhiza, nthawi zina amakhala ndi fungo lokoma pang'ono.
| Khalidwe | Madzi a amniotic (madzi omwe ali mu thumba la madzi) | Mkodzo ( mkodzo ) |
|---|---|---|
| Fungo | Nthawi zambiri siikhala ndi fungo. Ikhoza kukhala ndi fungo lokoma pang'ono. | Ali ndi fungo lofanana ndi la ammonia. |
| Mtundu | Kawirikawiri siili ndi mtundu (ngati madzi). Ingawoneke ngati pinki yokhala ndi magazi pang'ono kapena tinthu toyera. | Ikhoza kukhala yachikasu chopepuka mpaka yachikasu chakuda. |
| Kuyenda | Kutuluka kwa madzi m'thupi kumapitirira mosalamulirika. Kutuluka kwa madzi m'thupi kumatha kuwonjezeka munthu akamatsokomola kapena kuyimirira. | Kawirikawiri zimatha kulamulidwa ndikuyimitsidwa. |
Kodi muyenera kuchita chiyani ngati madzi anu asweka?
Ngati mukukayikira pang'ono kuti madzi anu asweka, chinthu choyamba komanso chofunikira kwambiri choti muchite ndikuyimbira dokotala wanu kapena mzamba wanu. Musachite mantha, khalani chete.
Dokotala adzakuuzani choti muchite. Nthawi zambiri amakuuzani kuti mubwere ku ofesi yake, kapena adzakuuzani kuti mupite kuchipatala nthawi yomweyo. Mukapita, gwiritsani ntchito chopukutira. Musagwiritse ntchito tampon.
Mukapita kuchipatala, ngati sizikudziwika bwino ngati madzi anu aswekadi, adzatenga chitsanzo cha madzi omwe atuluka kuchokera kwa inu ndikuyesa mosavuta kuti atsimikizire.
Ngati izi zitachitika mkati mwa milungu itatu kuchokera tsiku lanu lobadwa, dokotala wanu angakuuzeni kuti mudikire maola angapo kuti muwone ngati magema yanu yayamba kukula. Kapena angasankhe kuyambitsa kubereka. Kwa amayi ambiri, kubereka kumayamba mkati mwa maola 12 madzi atatuluka.
Kafukufuku wina wasonyeza kuti makanda obadwa kwa amayi omwe amayambitsa kubereka pambuyo poti madzi atuluka m'thupi sangatenge matenda ambiri. Amafunikanso chisamaliro chochepa ndipo amatha kupita kunyumba msanga kuchokera kuchipatala. Koma chisankho chabwino kwambiri chokhudza izi ndikulankhula ndi dokotala wanu.
Nanga bwanji ngati madzi ayamba kuphulika msanga? (Kuphulika msanga kwa madzi)
Pafupifupi 3% ya amayi apakati amakumana ndi vuto la kusweka kwa madzi m'mimba asanafike milungu 37 ya mimba. Izi zimatchedwa Kuphulika kwa Ziwalo Zoberekera Patsogolo pa Nthawi Yobereka (PPROM). Ili ndi vuto lomwe limafuna nkhawa. Pali zinthu zingapo zomwe zingawonjezere chiopsezo cha izi.
- Ngati muli ndi thupi lochepa
- Ngati mumasuta.
- Ngati izi zinachitika kale pa mimba
- Ngati muli ndi matenda a mkodzo omwe sanachiritsidwe
- Ngati muli ndi magazi m'mimba mwanu panthawi ya mimba
- Ngati panali vuto lililonse ndi chiberekero
Ngati PPROM yachitika, muyenera kupita kuchipatala nthawi yomweyo.
Kodi chimachitika ndi chiyani kuchipatala?
- Ngati muli ndi masabata 34 kapena kuposerapo: Dokotala wanu angasankhe kubereka mwana wanu kuti achepetse chiopsezo cha matenda kwa inu kapena mwana wanu.
- Ngati muli ndi pakati pa milungu 23 ndi 34: Kuchedwa kubereka nthawi zambiri kumachitika kuti mwana azitha kukula bwino m'mimba. Mudzapatsidwa mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda. Mudzapatsidwanso mankhwala opha tizilombo toyambitsa matenda kuti mapapu a mwana akule msanga. Mwina mungafunike kukhala kuchipatala mpaka mwana atabadwa.
- Ngati muli ndi masabata osakwana 23: Iyi ndi nthawi yovuta kwambiri. Dokotala wanu adzakulankhulani momasuka za zoopsa ndi ubwino wopitiliza kutenga mimba. Izi zili choncho chifukwa ngati madzi anu ayamba msanga, mwayi woti mwana apulumuke ndi wochepa. Ngakhale atapulumuka, ali pachiwopsezo chachikulu chokhala ndi vuto la maganizo kapena thupi.
Nanga bwanji ngati thumba la madzi silinasweke ngakhale kuti linali lonyowa?
Nthawi zina, ngati muli ndi nthawi yobereka koma nthawi yanu yobereka imachedwa, dokotala wanu angakuthandizeni kuswa madzi anu. Izi zimatchedwa amniotomy. Mu njira imeneyi, chipangizo chapadera, monga mbedza yapulasitiki yoyera, chimalowetsedwa kudzera mu nyini yanu ndipo dokotalayo amaswa thumba la amniotic. Kuti muchite izi, mutu wa mwana uyenera kukhala pansi pa ngalande yoberekera ndikuphimba chiberekero chanu. Kupanda kutero, mutha kudikira kuti thupi lanu limalize yokha kubereka.
Uthenga Wopita Nawo Kunyumba
- Anthu ena angamve madzi akusweka mwadzidzidzi, pomwe ena angamve madziwo akutuluka pang'onopang'ono.
- Madzi otuluka m'madzimo alibe fungo lamphamvu ngati mkodzo. Umu ndi momwe mungadziwire kusiyana kwake.
- Ngati mukukayikira pang'ono kuti thumba lanu la madzi lasweka, musachite mantha, imbani dokotala wanu nthawi yomweyo.
- Ngati madzi anu atuluka msanga (musanakwanitse milungu 37), ndi vuto ladzidzidzi. Pitani kuchipatala nthawi yomweyo.
- Musadandaule. Pali ogwira ntchito zachipatala ophunzitsidwa bwino kuti akuthandizeni pazochitika zonsezi. Kambiranani zonse ndi dokotalayo ndikutsatira malangizo ake.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 🧐 Kodi Amniotic Fluid Embolism (AFE) ndi chiyani? Kodi izi zimachitika madzi akasweka?
Imeneyi ndi vuto losowa kwambiri, lomwe limapezeka pa mimba pafupifupi zinayi mpaka zisanu mwa mimba 100,000. Madzi akatuluka, madzi kapena maselo a mwana omwe ali m'thumba amasakanikirana ndi magazi a mayi, zomwe zimapangitsa kuti pakhale vuto lalikulu lofanana ndi la ziwengo. Musachite mantha ndi izi, chifukwa mwayi woti izi zichitike ndi wochepa kwambiri.
💬 😰 Kodi mumadziwa bwanji nthawi yomwe madzi anu atuluka? Kodi mungapewe?
Palibe njira yoletsera izi pasadakhale, koma madzi anu akatuluka, muli kuchipatala, kotero madokotala adzakuyang'anirani mosamala. Ngati mwadzidzidzi muyamba zizindikiro monga kupuma movutikira kapena kuthamanga kwa magazi, ogwira ntchito kuchipatala ndi okonzeka kukuthandizani nthawi yomweyo. Choncho musachite mantha popanda chifukwa.
💬 🩺 Kodi ndiyenera kuda nkhawa kwambiri ndi Amniotic Fluid Embolism ngati madzi anga asweka?
Ayi! Kusweka kwa madzi ndi chinthu chofala kwambiri chomwe chimachitika mwana akatsala pang'ono kubadwa. Kusweka kwa madzi kumeneku ndi vuto losowa kwambiri padziko lonse lapansi, choncho musadandaule nazo. Chomwe muyenera kuchita ndi kusachita mantha madzi akasweka ndikupita kuchipatala nthawi yomweyo. Kenako pali madokotala omwe angathe kuthana ndi vuto lililonse.
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